| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.83 | $77.84 | $91.36 | |
BCBS
| Professional | $81.56 | $152.94 | $152.94 | |
Cigna
| Professional | $48.24 | $48.24 | $119.31 | |
Hally Health
| Professional | $80.29 | $101.96 | $164.48 | |
Molina
| Professional | $138.66 | $142.74 | $2,500.00 | |
United
| Professional | $39.26 | $50.87 | $77.30 |